JOELLA LONG

BEND, OR
NPI1073052320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: OR  T1219)
Enumeration Date2017-02-20
Last Update Date2017-02-20
Business Address
-- JOELLA LONG
780 NW YORK DR SUITE 204
BEND, OR 97703-1053
Phone number: 541-639-2986
Mailing Address
-- JOELLA LONG
PO BOX 938
BEND, OR 97709-0938
Phone number: 541-639-2986